Individual provider Active NPI

Jeremy Bonjorno, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Venice, FL
National Provider Identifier
1053795237
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3971 Issued in FL
Practice address
4120 Woodmere Park Blvd Ste 5
Venice, FL 34293-5373
Phone
(941) 488-0222
Fax
(941) 480-1668
NPI assigned
Jul 17, 2015
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3971 FL Primary

Addresses

Primary practice location

4120 Woodmere Park Blvd Ste 5
Venice, FL 34293-5373

Mailing address

4120 Woodmere Park Blvd Ste 5
Venice, FL 34293-5373
Phone (941) 488-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180525000581 FL Practitioner - Podiatry 9133484983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empath Therapies LLCGroup PAC ID 5496144529, 108 clinicians
Premier Foot and Ankle Specialists PAGroup PAC ID 4587737424, 2 clinicians

Practice addresses (Care Compare)

3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746

4120 Woodmere Park Blvd
Suite 5
Venice, FL 34293-5373
Phone (941) 488-0222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue381
Removal of nail tissue1854
Removal or shaving of skin growth1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Foot and Ankle Specialists PA Foot & Ankle Surgery CurrentSince May 1, 2018 Accepting new patients

Locations

4120 Woodmere Park Blvd
Ste 5
Venice, FL 34293
Phone (941) 408-0670

712 The Rialto
Venice, FL 34285
Phone (813) 671-5985

Interoperability endpoints

  • Direct secure messaging: jbonjorno@pfaas-fl.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1053795237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 WOODMERE PARK BLVD STE 5",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935373",
            "telephone_number": "941-488-0222",
            "fax_number": "941-480-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 WOODMERE PARK BLVD STE 5",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935373",
            "telephone_number": "941-488-0222",
            "fax_number": "941-480-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONJORNO",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.